EJVES Vascular Forum最新文献

{"title":"Metformin Use and Long Term Outcomes following EVAR for Infrarenal Abdominal Aortic Aneurysm","authors":"Olivier van Tongeren ∗ , Jorg de Bruin , Vinamr Rastogi , David Vecht , Klaas Ultee , Sanne Hoeks , Hence Verhagen","doi":"10.1016/j.ejvsvf.2024.01.023","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.023","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000248/pdfft?md5=1d58036f10262baef77aca7e029d4fb9&pid=1-s2.0-S2666688X24000248-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single Centre Elective Combination of Single Perclose + Angio-Seal Compared With Standard of Care During Percutaneous Endovascular Aortic Aneurysm Repair","authors":"Paolo Spath ∗ , Filippo Maioli , Sara Pomatto , Michele Leone , Annalisa Perulli , Giacomo Di Iasio , Massimiliano Marini , Silvia Massini , Salvatore Tarantini","doi":"10.1016/j.ejvsvf.2024.01.035","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.035","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000364/pdfft?md5=5e804ee3ac44ae4e7638d02bcebaa4f0&pid=1-s2.0-S2666688X24000364-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical Limb Ischaemia in Octogenarians: Treatment Outcomes Compared With Younger Patients","authors":"Amaia Ormaechevarria,&nbsp;Melina Vega de Céniga,&nbsp;June Blanco,&nbsp;Laura Yáñez,&nbsp;June Fernández,&nbsp;Luis Estallo","doi":"10.1016/j.ejvsvf.2023.12.003","DOIUrl":"10.1016/j.ejvsvf.2023.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>A growing proportion of patients with chronic limb threatening ischaemia (CLTI) are elderly, the most challenging for management decisions. The aim was to study the patient profile and outcome of CLTI in octogenarian patients, comparing them with younger patients.</p></div><div><h3>Methods</h3><p>Retrospective cohort of consecutive patients hospitalised for CLTI with infrainguinal disease in a Spanish centre (2013–2020). Data on age, comorbidity, anatomical characteristics, and treatment were gathered. Patients were stratified according to age (&lt;80 and ≥80 years). The primary outcomes were overall survival and limb salvage (LS), analysed using Kaplan–Meier and Cox regression.</p></div><div><h3>Results</h3><p>: A total of 512 patients were enrolled: 305 were &lt;80 years old with mean age 69.7 ± standard deviation (SD) 8.2 years, and 207 were ≥80 years old with mean age 85.3 ± SD 3.6 years. Smoking and diabetes mellitus were more frequent in younger patients (78.0% <em>vs</em>. 45.4%, <em>p</em> &lt; .001; 68.5% <em>vs.</em> 59.5%, <em>p</em> = .037 respectively). Older patients had a higher prevalence of heart and kidney disease (70.5% vs. 57.0%, <em>p</em> = .002; 39.6% <em>vs.</em> 24.3%, <em>p</em> &lt; .001, respectively). The arterial disease was femoropopliteal or tibial in 68.9% and 31.1% in patients &lt;80 years and 58.9% and 41.1% in patients ≥80 years (<em>p</em> = .021). In younger patients, conservative treatment was indicated in 18.0%, endovascular treatment (ET) in 41.6%, and open or hybrid surgery (OS) in 40.3%; in patients ≥80 years these were 36.9%, 37.4%, and 25.7%, respectively (<em>p</em> &lt;. 001). Mean follow up was 23.3 ± SD 17.4 months. One and two year overall survival was 85.4% and 73.0% in younger patients and 64.1% and 51.3% in patients ≥80 years (<em>p</em> &lt; .001). LS was 83.7% and 79% at the same times in younger patients and 75.3% and 72.1% in older ones (<em>p</em> = .045). In younger patients ET led to worse LS than OS (<em>p</em> = .005) but not in older patients (<em>p</em> = .29).</p></div><div><h3>Conclusion</h3><p>Patients ≥80 years with CLTI have higher comorbidity and lower life expectancy and receive conservative treatment more frequently than younger patients. ET and OS are associated with similar survival and LS in these older patients.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X23000953/pdfft?md5=288747f2e3ac48dd27222fe007470148&pid=1-s2.0-S2666688X23000953-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suspected Symptomatic Infected Native Aortic Aneurysm Turns Out To Be Aortic Tumour Originating From Metastatic Cancer of Unknown Primary: A Case Report and Review of Literature","authors":"","doi":"10.1016/j.ejvsvf.2024.06.002","DOIUrl":"10.1016/j.ejvsvf.2024.06.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The non-specific clinical presentation of a primary aortic tumour may mimic infectious processes. Together with its rarity, this resemblance can complicate timely identification and pose diagnostic challenges.</p></div><div><h3>Report</h3><p>The case of a 77 year old male patient complaining of abdominal pain radiating to the back, fatigue, and loss of appetite for a month, is presented. Contrast enhanced computed tomography showed a 47 mm infrarenal aortic aneurysm with peripheral enhancement. With suspicion of an infected native aortic aneurysm, open aortic repair was performed using a bovine pericardial Y prosthesis. The intra-operative biopsy revealed a malignant undifferentiated neoplasm, which later turned out to originate from metastatic cancer of unknown primary. The patient died six months later following comprehensive and extensive oncological treatment, which included radiotherapy and chemotherapy.</p></div><div><h3>Discussion</h3><p>Given the scarcity of literature and challenges in classification, treatment recommendations rely on a multidisciplinary approach, involving surgery, radiotherapy, and chemotherapy. Despite the lack of established guidelines, early intervention, even in metastatic cases, may improve clinical outcomes. Surgical resection, whenever appropriate, is advocated, as it not only alleviates symptoms, but intra-operative histological sampling also aids in obtaining a definitive diagnosis.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000935/pdfft?md5=df5e10680fcf265da2362f7620d349a9&pid=1-s2.0-S2666688X24000935-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Treatment of Multiple Venous and Arterial Aneurysms Due to Arteriovenous Malformations of the Arm","authors":"Killian Fontaine,&nbsp;Louis Magnus,&nbsp;Gwenaël John,&nbsp;Tristan Leterrier,&nbsp;Mathilde Burgaud,&nbsp;Olivier Rouyer,&nbsp;Fabien Thaveau","doi":"10.1016/j.ejvsvf.2024.02.002","DOIUrl":"10.1016/j.ejvsvf.2024.02.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Arteriovenous malformations (AVMs) are rare, especially in elderly patients. Occasionally, AVM can produce aneurysmal degenerations, which can lead to bleeding or rupture. The aim of this case report was to describe the surgical treatment of large arterial and venous aneurysms in the arm associated with an AVM.</p></div><div><h3>Report</h3><p>An 83 year old woman of White ethnicity who was a non-smoker presented with a large pulsatile aneurysm at the left elbow with paresis of the first three fingers. The diagnosis was made by duplex ultrasonography (DUS), computed tomography angiography (CTA), and arteriography. Additional tests confirmed aneurysms of the brachial artery and the outflow veins, with the largest more than 7 cm in diameter. A very proximal brachial artery bifurcation and increased venous flow were noted. DUS confirmed the AVM by showing continuous flow in the axillary vein. The decision for surgical resection involved vascular surgeons, radiologists, angiologists, and anaesthetists. Treatment involved opening and excision of multiple venous aneurysms and AVMs. A short segment of the aneurysmal brachial artery was also resected and repaired with end to end anastomosis. The deep brachial artery which supplied AVMs and venous aneurysms was ligated and excision of these lesions was performed. At one year follow up, there were no complications and the revascularisation was patent.</p></div><div><h3>Discussion</h3><p>Arterial and venous aneurysms occurring together with AVMs are rare and not well documented in the medical literature. In this case, surgical intervention, including resection with direct anastomosis of the arterial aneurysm coupled with excision of venous aneurysms and AVM, proved to be effective, as evidenced by stable post-operative outcomes after one year.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000583/pdfft?md5=e8fb922ab920b3b2f10ec6e98101eb27&pid=1-s2.0-S2666688X24000583-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139827444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volumetric vs. Diametric Measurement in the Follow Up of Abdominal Aortic Aneurysm After Endovascular Repair","authors":"Joel Soriano Iniesta ∗ ,&nbsp;Maria Lourdes Del Río Solá ,&nbsp;Manuel Díez Martínez ,&nbsp;Joan Francisco Roedan Oliver ,&nbsp;Sergio Asensio Rodríguez","doi":"10.1016/j.ejvsvf.2024.01.009","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.009","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000108/pdfft?md5=5cc1de209977e1ab1ea6e58e75b804fe&pid=1-s2.0-S2666688X24000108-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aortic Mural Thrombus Progression Under Full Dose Anticoagulation","authors":"Armanda Duarte ∗ ,&nbsp;Tony Soares ,&nbsp;Tiago Costa ,&nbsp;Gonçalo Cabral ,&nbsp;José Tiago ,&nbsp;José Gimenez ,&nbsp;Diogo Cunha e Sá","doi":"10.1016/j.ejvsvf.2024.01.033","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.033","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000340/pdfft?md5=2e1342cdaa74f146c21d03cf40e3a5f9&pid=1-s2.0-S2666688X24000340-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Retrograde Tibiopedal Access in Patients With Critical Lower Limb Ischaemia: Challenges and Outcome","authors":"Baker Ghoneim ∗ ,&nbsp;Mostafa Aboelil ,&nbsp;Khalid Elhindawy ,&nbsp;Fouad Fouad","doi":"10.1016/j.ejvsvf.2024.01.005","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.005","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000066/pdfft?md5=d2b51ff68230713eb4a785eb54a27e02&pid=1-s2.0-S2666688X24000066-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Operative Time and Results of Elective Endovascular Abdominal Aortic Aneurysm Repair","authors":"Lara Dias ∗ ,&nbsp;Leandro Nóbrega ,&nbsp;Marina Dias-Neto (Prof.) ,&nbsp;Armando Mansilha (Prof.)","doi":"10.1016/j.ejvsvf.2024.01.066","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.066","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000698/pdfft?md5=7506c94f06a296d54f99649ec2c270fa&pid=1-s2.0-S2666688X24000698-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Socioeconomic Status in PAD: The Role of Health Literacy","authors":"Katerina Dangas ∗ ,&nbsp;Dominic Howard","doi":"10.1016/j.ejvsvf.2024.01.028","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.028","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000297/pdfft?md5=fc3b0e5bf8f02459f16391587dd021be&pid=1-s2.0-S2666688X24000297-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}